Archive for: HHS

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Payment Innovation: Other

Call for Nominations for AHRQ National Advisory Council

AHRQ is seeking nominations for the National Advisory Council for Healthcare Research and Quality.

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Payment Innovation: PTAC

PTAC Calls on CMS for More Comprehensive Approach to Wound Care Delivery

The PTAC report concludes that a more comprehensive approach to wound care is needed.

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Payment Innovation: Other

GAO Recommends CMS Improve Transparency Policy for Section 1115 Waivers

On May 17, the GAO released a report recommending an improved transparency policy for Section 1115 waivers.

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Payment Innovation: Other

Comment Period for Interoperability Rules Extended to June 3

HHS extended the comment period for two proposed interoperability rules to June 3.

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Payment Innovation: Other

HCPLAN Hosts Webinar on APM Roadmap on April 3, 2019

HCPLAN to host webinar on APM roadmap on April 3, 2019.

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Prescription Drug: Other

Members Send Letter to HHS Opposing Changes to Protected Classes

On March 13, 2019, more than 70 members joined Representatives Barbara Lee (D-CA) and Will Hurd (R-TX) in sending a letter to Secretary and of Health and Human Services Alex Azar expressing opposition to the CMS proposed rule changing the six protected classes of drugs in Medicare Part D.

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Payment Innovation: PTAC

PTAC Submits Report to the Secretary; Registration Open for Upcoming Public Meeting

PTAC recommends the Making Accountable Sustainable Oncology Networks model to HHS.

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Payment Innovation: Other

HHS and OIG Releases Proposal Targeting PBMs

HHS and OIG release proposed rule targeting pharmacy benefits managers.

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Payment Innovation: Other

HHS Releases HIPAA RFI

HHS has released a request for information about how HIPAA rules could be modified to further the Secretary’s goal of promoting coordinated care. Comments are due February 11, 2019.

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Payment Innovation: Other

HHS Announces CHPL Data Challenge Winners

ONC announces winners of the Certified Health IT Product List (CHPL) Data Challenge.

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Payment Innovation: Other

Administration Releases Report on Healthcare Competition

Departments of Health, Treasury and Labor release report titled “Reforming America’s Healthcare System Through Choice and Competition.”

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Payment Innovation: Other

Hargan Announces Innovation and Investment Summit Core Participants

HH) announces core participants in the Deputy Secretary’s Innovation and Investment Summit.  The first meeting is December 18, 2018.

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Insurance Coverage: Regulation

Exchange Program Integrity Proposed Rule

The Centers for Medicare and Medicaid Services issued a proposed rule on the Health Insurance Exchanges.

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Payment Innovation: Other

ASPE’s Social Risk Request for Information

RFI released seeking provider and plan approaches to improve care for Medicare beneficiaries with social risk factors.

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Payment Innovation: Innovation Center

Deputy Secretary Hargan Announces Collaboration to Accelerate Innovation and Investment in Healthcare – Call for Participants

HHS accepting recommendations for participants in the  “Deputy Secretary’s Innovation and Investment Summit” working group.

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Payment Innovation: Quality Payment Program

Registration Open for 2018 LAN Summit

The Health Care Payment Learning & Action Network (LAN) is hosting their 2018 Fall Summit on Monday, October 22 at the Sheraton Tysons Hotel in Tysons, VA.

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Payment Innovation: Other

OIG Releases Request for Information on Anti-Kickback Statute and Beneficiary Inducements

The OIG published a request for information seeking stakeholder input on potential new safe harbors to the Anti-Kickback Statute and exceptions to the beneficiary inducement prohibition in the Civil Monetary Penalty Law to remove impediments to care coordination and value-based care.

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Payment Innovation: PTAC

GAO Accepting PTAC Nominations

The Government Accountability Office (GAO) is currently accepting letters of nomination and resumes for appointments to the Physician-Focused Payment Model Technical Advisory Committee (PTAC).

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Payment Innovation: PTAC

Secretary Responds to PTAC Recommendations

Secretary Responds to PTAC Recommendations; Does Not Commit to Implementing any Models but Indicates Particular Interest in Two Serious Illness Models

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Diagnostics: Litigation

ACLA Files Lawsuit Challenging CMS Implementation of PAMA Section 216

On Monday December 11, the American Clinical Laboratory Association (ACLA) filed a legal challenge to CMS’s implementation of the revised Clinical Laboratory Fee Schedule (CLFS) required under Section 216 of the Protecting Access to Medicare Act (PAMA) of 2014.

ORIGINAL ANALYSIS

Insurance Coverage: Congress

H.R. 3100 (Congressman Tom Price, M.D.)

Prohibits HHS and States from requiring physicians to participate in certain health plans or the Meaningful Use program as a condition of licensure

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